Effective referral of low-income women at risk for hereditary breast and ovarian cancer to genetic counseling: A randomized delayed intervention control trial

Rena J. Pasick, Galen Joseph, Susan L Stewart, Celia Kaplan, Robin Lee, Judith Luce, Sharon Davis, Titas Marquez, Tung Nguyen, Claudia Guerra

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Objectives. To determine the effectiveness of a statewide telephone service in identifying low-income women at risk for hereditary breast and ovarian cancer and referring them to free genetic counseling. Methods. From June 2010 through August 2011, eligible callers to California's toll-free breast and cervical cancer telephone service were screened for their family histories of breast and ovarian cancer. High-risk women were identified and called for a baseline survey and randomization to an immediate offer of genetic counseling or a mailed brochure on how to obtain counseling. Clinic records were used to assess receipt of genetic counseling after 2 months. Results. Among 1212 eligible callers, 709 (58.5%) agreed to answer family history questions; 102 (14%) were at high risk (25% Hispanic, 46% White, 10% Black, 16% Asian, 3% of other racial/ethnic backgrounds). Of the high-risk women offered an immediate appointment, 39%received counseling during the intervention period, as compared with 4.5% of those receiving the brochure. Conclusions. A public health approach to the rare but serious risk of hereditary breast and ovarian cancer can be successful when integrated into the efforts of existing safety net organizations.

Original languageEnglish (US)
Pages (from-to)1842-1848
Number of pages7
JournalAmerican Journal of Public Health
Volume106
Issue number10
DOIs
StatePublished - Oct 1 2016

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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